American Geriatrics Society ELECTRONIC HEALTH RECORDS for GERIATRICS HEALTH CARE PROVIDERS
American Geriatrics Society ELECTRONIC HEALTH RECORDS FOR GERIATRICS HEALTH CARE PROVIDERS General Components of an EHR 1. Data should be in structured format for easy retrievability and monitoring over time. 2. 24 hour IT support should be available. 3. Automatic billing level suggestion (and submission of bill). 4. Retrievability of data for quality reporting and research. 5. Previous button to import last visits data into various (all or some) fields. 6. Reminders for preventive care that is due. 7. Options for users to add test, scales, etc. as knowledge and evidence develop and warrant it. 8. Designated area for caregiver information. Specific Geriatric Components of an EHR History o Cognitive Screening (Montreal Cognitive o Facility Information Assessment {MoCA}, Saint Louis University Mental o Risk Factors: falls, depression screening with link to tool, Status {SLUMs}, etc.) sexually transmitted disease risk, alcohol, drugs, nutrition, o Depression Screening (Geriatric depression scale, osteoporosis, cardiovascular disease, functional decline, Patient Health Questionnaire {PHQ‐9, etc}) pressure sores, etc. o Pain level and location(s) o Advanced Directives, Healthcare Power of Attorney (HCPOA) o Medication list: o Activities of Daily Living (ADLs): bathing, dressing, grooming, o sort by alphabet, entry date, deleted, category/ continence, walking, transfer, eating, etc. disease, and o Instrumental Activities of Daily Living (IADLs): finances, o include over the counter medications, oxygen, driving, telephone, medication, etc. walker, hospital bed, physical therapy, etc. o Physical Therapy, Occupational Therapy, Speech Therapy o Problem list: sort by alphabet, entry date, category o Durable Medical Equipment o History of Present Illness (HPI) ‐ import previous o Oxygen o Home Health Agency o Review of Systems (ROS), include: ROS could not be o Home Assessment: stairs, railings, heating, air, obtained due to patient’s condition (replace condition with flooring, bathroom, smoke detector.
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